| Beth Israel Deaconess Medical Cenetr | |
|
230 Bowdoin St Dorchester MA 02122-1817 | |
| (617) 754-0100 | |
| (617) 754-0230 |
| Full Name | Beth Israel Deaconess Medical Cenetr |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 230 Bowdoin St, Dorchester, Massachusetts |
| Authorized Official Name and Position | Adela Margules (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6177540100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Israel Deaconess Medical Cenetr 55 Manor St Dorchester MA 02122-2468 Ph: (617) 436-7491 | Beth Israel Deaconess Medical Cenetr 230 Bowdoin St Dorchester MA 02122-1817 Ph: (617) 754-0100 |
| NPI Number | 1790804623 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790804623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 191735 (Massachusetts) | Primary |
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